Evaluation of skull bone viability and effect of early surgical intervention in electrical contact burns using 18F-Sodium Fluoride PET-CT imaging.

OBJECTIVE: Electrical contact burns of the scalp cause serious morbidity and mortality. Early necrotic bone debridement and flap cover are crucial for successful wound closure. 18F Sodium Fluoride (NaF), with high bone-to-soft tissue activity ratio, is useful for bone viability assessment. This study evaluated the role of 18F NaF PET-computed tomography (CT) in objectively defining the extent and depth of nonviable calvarial bone, to guide adequate bone debridement. METHOD: Of 20 patients referred to our institute with electrical contact burns of the scalp during a 2-year period, 15 were enrolled in the study. Two weeks after the initial management, tracer uptake pattern was noted on 18F NaF PET-CT of the head and exposed bone measured. Surgical bone debridement was based on scan findings, followed by wound closure. All patients underwent clinical evaluation and follow-up scan 3 months after surgery. RESULTS: Eight patients showed a central photopenic area in the exposed bone (maximum standardized uptake value [SUVmax] of 0.76 ± 0.14 with mean maximum dimensions 4.10 ± 1.76/2.67 ± 1.54 cm). High tracer uptake (SUVmax, 9.66 ± 6.03) was seen peripheral to the exposed bone (mean maximum dimensions, 8.14 ± 3.03/4.75 ± 1.61 cm). Postoperatively, there was no significant change in tracer uptake in the central debrided region or peri-debridement bone area under the flap. Clinically all patients showed a well-healed flap. CONCLUSION: 18F NaF PET-CT appears useful for objective evaluation of skull bone viability and planning necrotic bone debridement in patients with electrical contact burns. However, additional studies with longer patient follow-up are required to validate these results.

Europium-doped cerium oxide nanoparticles: investigating oxygen vacancies and their role in enhanced photocatalytic and magnetic properties.

In this study, pure and europium-doped (2%, 4%, 6%, and 8%) cerium oxide (CeO2) nanoparticles (NPs) were employed for efficient dye removal through photocatalytic approach. XRD and TEM confirmed the formation of pure CeO2 nanoparticles, while XPS and Raman spectroscopy were used to analyze the electronic properties and lattice defects, such as oxygen vacancies. The presence of lattice defects, which increased with the concentration of Eu, was found to be responsible for the enhanced degradation of Rose Bengal dye (82.4% for 8% Eu-doped sample) in 75 min. FTIR confirmed the chemical composition of the synthesized sample. The band at 617 cm-1, corresponding to the symmetrical stretching vibration mode of (Ce-O-Ce) or (Ce-O-Eu). The magnetic properties of synthesized samples were examined using VSM, revealing an increase from 4.48 to 11.0 emu/g in magnetization. This enhancement was attributed to F-center exchange mechanism (FCE), resulting from the presence of oxygen vacancies. These findings contribute to the development of advanced materials for sustainable wastewater treatment and spintronics.

Carbon dots as potential candidate for photocatalytic treatment of dye wastewater.

Water is the utmost important element for the existence of life. In recent decades, water resources have become highly contaminated by a variety of pollutants, especially toxic dyes that are harmful to both living beings and environment. Hence, there is an urgent need to develop more effective methods than traditional wastewater treatment approaches for treatment of hazardous dyes. Herein, we have addressed the various aspects related to the effective and economically feasible method for photocatalytic degradation of these dyes employing carbon dots. The photocatalysts based on carbon dots including those mediated from biomass have many superiorities over conventional methods such as utilization of economically affordable, non-toxic, rapid reactions, and simple post-processing steps. The current study will also facilitate better insight into the understanding of photocatalytic treatment of dye-polluted wastewater for future wastewater treatment studies. Additionally, the possible mechanistic pathways of photocatalytic dye decontamination, several challenges, and future perspectives have also been summarized.

Development and Validation of Wheelchair-Based Yoga Module for Individuals with Paraplegia.

Spinal cord injury causes temporary or permanent loss of motor, sensory, or autonomic functions, leading to long-term impairments that are not only confined to physical attributes but also restrict individuals' participation in major domains of life. Around 60%-80% of individuals with spinal cord injuries depend on a wheelchair for mobility. Numerous studies have reported yoga's beneficial role in alleviating spinal cord injury symptoms; however, a validated wheelchair-based yoga module was unavailable. Thus, the present study aimed to develop and validate a wheelchair-based yoga module that comprises a printed protocol for individuals with paraplegia. The study was conducted in four phases: The first three phases were the steps for the formulation of a wheelchair-based yoga module, and in the last phase the content validity of the designed module was determined by a panel of 10 experts, who were asked to rate the preliminary module for its necessity and relevance using a Likert scale. A total of 17 yoga practices with high content validity were included in the final wheelchair-based yoga module, and 10 practices with lower content validity were excluded from the designed module. Data analysis revealed the mean content validation index of the designed module to be 0.81. This study concludes that the formulated wheelchair-based yoga module is valid for individuals with paraplegia. However, future studies need to be conducted to determine the protocol's feasibility and effectiveness.

Multifunctional CoFe2O4/ZnO nanocomposites: Probing magnetic and photocatalytic properties.

Developing nanocomposites as efficient photocatalysts for eliminating hazardous contaminants is essential because of growing severity of water pollution. In this study, we have analysed the morphological, structural, magnetic, and optical properties of cobalt ferrite (CoFe2O4), and zinc oxide (ZnO) nanocomposites synthesized via hydrothermal approach and used for removal of rose bengal (RB) dye from contaminated water. X-ray diffraction (XRD) analysis of synthesized nanocomposite revealed two distinct phases that matched with CoFe2O4 and ZnO. Fourier Transform Infrared (FTIR) spectra enlightened Co-O, Fe-O, and O-Zn-O binding peaks in synthesized nanocomposites. The band gap of nanocomposite, as determined by UV diffuse reflectance spectroscopy (UV-DRS), varies from 3.19 to 3.25 eV. The wide band gap semiconductor (ZnO) is believed to be responsible for this transformation by introducing new sub-bandgap energy levels. X-ray photoelectron spectroscopy (XPS) has shown the roles of various ions. High-resolution transmission electron microscopy (HRTEM) analysis revealed spherical morphology of synthesized samples. The highest magnetism of pure CoFe2O4 was 34.61 emu/g, making it the most magnetic among all the synthesized materials. Furthermore, CoFe2O4/ZnO (1:4) nanocomposite exhibited the highest degradation of RB dye. The recombination of electron-hole pairs is inhibited by interfacial charge transfer provided by CoFe2O4 and ZnO. The results showed that CoFeZn14 nanocomposite is a promising candidate for wastewater treatment. CoFeZn14 demonstrated remarkable stability, showcasing its ability to be reused up to four times without compromising its efficiency. .

Electromyographic analysis of trunk and hip muscles during Yoga poses prescribed for treating chronic low back pain.

Yoga is effective for the management of chronic low back pain as it improves muscle strength and endurance. The objective of the current study was to assess trunk and hip muscle activation during Yoga poses usually prescribed for patients with chronic LBP. The study included 22 healthy Yoga trained subjects (mean age: 24.4 ± 2.6 years; 16 females, 6 males). The testing involved collecting surface electromyography data from Rectus Abdominis (RA) and Transverse Abdominis (TA), Gluteus Medius (GM), and Erector Spinae (ES) as subjects attained and held 16 different Yoga poses in standing, kneeling, supine, or prone positions in random order. The signal of each muscle was processed and normalized to its maximum voluntary isometric contraction (MVC). Statistical comparisons were made across selected poses and phases (attaining and holding) for each muscle using repeated-measures ANOVA. The data was also descriptively analyzed for sorting muscle activity. The activation of trunk flexors was significantly higher during boat pose (>50% MVC) followed by plank pose (∼30% MVC), activation of ES was significantly higher during reverse boat (41.7% ± 3.3 MVC) as compared to bow, snake, backward-sway, and warrior poses. The GM activation was significantly less in standing poses than during side-lying and Tiger poses (32-42% MVC). The cat-camel, kneeling camel, downward dog, backward-sway, swaying-palm tree, and warrior poses activated all tested muscles fairly (<20% MVC). The study helps the grading of Yoga positions according to the challenge imposed. The challenging poses may be used to develop graded rehabilitation programs to improve muscle strength/endurance.

Recent advancement in nanomaterials for the detection and removal of uranium: A review.

Uranyl ions U(VI), are the common by-product of nuclear power plants and anthropogenic activities like mining, excess utilization of fertilizers, oil industries, etc. Its intake into the body causes serious health concerns such as liver toxicity, brain damage, DNA damage and reproductive issues. Therefore, there is urgent need to develop the detection and remediation strategies. Nanomaterials (NMs), due to their unique physiochemical properties including very high specific area, tiny sizes, quantum effects, high chemical reactivity and selectivity have become emerging materials for the detection and remediation of these radioactive wastes. Therefore, the current study aims to provide a holistic view and investigation of these new emerging NMs that are effective for the detection and removal of Uranium including metal nanoparticles, carbon-based NMs, nanosized metal oxides, metal sulfides, metal-organic frameworks, cellulose NMs, metal carbides/nitrides, and carbon dots (CDs). Along with this, the production status, and its contamination data in food, water, and soil samples all across the world are also complied in this work.

Assessment of biomass-derived carbon dots as highly sensitive and selective templates for the sensing of hazardous ions.

Access to safe drinking water and a hygienic living environment are the basic necessities that encourage healthy living. However, the presence of various pollutants (especially toxic heavy metal ions) at high concentrations in water renders water unfit for drinking and domestic use. The presence of high concentrations of heavy-metal ions (e.g., Pb2+, Hg2+, Cr6+, Cd2+, or Cu2+) greater than their permissible limits adversely affects human health, and increases the risk of cancer of the kidneys, liver, skin, and central nervous system. Therefore, their detection in water is crucial. Due to the various benefits of "green"-synthesized carbon-dots (C-dots) over other materials, these materials are potential candidates for sensing of toxic heavy-metal ions in water sources. C-dots are very small carbon-based nanomaterials that show chemical stability, magnificent biocompatibility, excitation wavelength-dependent photoluminescence (PL), water solubility, simple preparation strategies, photoinduced electron transfer, and the opportunity for functionalization. A new family of C-dots called "carbon quantum dots" (CQDs) are fluorescent zero-dimensional carbon nanoparticles of size < 10 nm. The green synthesis of C-dots has numerous advantages over conventional chemical routes, such as utilization of inexpensive and non-poisonous materials, straightforward operations, rapid reactions, and renewable precursors. Natural sources, such as biomass and biomass wastes, are broadly accepted as green precursors for fabricating C-dots because these sources are economical, ecological, and readily/extensively accessible. Two main methods are available for C-dots production: top-down and bottom-up. Herein, this review article discusses the recent advancements in the green fabrication of C-dots: photostability; surface structure and functionalization; potential applications for the sensing of hazardous anions and toxic heavy-metal ions; binding of toxic ions with C-dots; probable mechanistic routes of PL-based sensing of toxic heavy-metal ions. The green production of C-dots and their promising applications in the sensing of hazardous ions discussed herein provides deep insights into the safety of human health and the environment. Nonetheless, this review article provides a resource for the conversion of low-value biomass and biomass waste into valuable materials (i.e., C-dots) for promising sensing applications.

A Review on Photocatalysis Used For Wastewater Treatment: Dye Degradation.

Water pollution is a global issue as a consequence of rapid industrialization and urbanization. Organic compounds which are generated from various industries produce problematic pollutants in water. Recently, metal oxide (TiO2, SnO2, CeO2, ZrO2, WO3, and ZnO)-based semiconductors have been explored as excellent photocatalysts in order to degrade organic pollutants in wastewater. However, their photocatalytic performance is limited due to their high band gap (UV range) and recombination time of photogenerated electron-hole pairs. Strategies for improving the performance of these metal oxides in the fields of photocatalysis are discussed. To improve their photocatalytic activity, researchers have investigated the concept of doping, formation of nanocomposites and core-shell nanostructures of metal oxides. Rare-earth doped metal oxides have the advantage of interacting with functional groups quickly because of the 4f empty orbitals. More precisely, in this review, in-depth procedures for synthesizing rare earth doped metal oxides and nonocomposites, their efficiency towards organic pollutants degradation and sources have been discussed. The major goal of this review article is to propose high-performing, cost-effective combined tactics with prospective benefits for future industrial applications solutions.

Plastic Waste-Derived Carbon Dots: Insights of Recycling Valuable Materials Towards Environmental Sustainability.

Carbon dots (CDs) or carbon quantum dots (CQDs) have emerged as rising stars in the carbon family due to their diverse applications in various fields. CDs are spherical particles with a well-distributed size of less than 10 nm. Functional CDs are promising nanomaterials with low toxicity, low cost, and enormous applications in the field of bioimaging, optoelectronics, photocatalysis, and sensing. Plastic is non-biodegradable and hazardous to the environment, however extremely durable and used in abundance. During the COVID-19 pandemic, the use of plastic waste, particularly masks, goggles, face shields, and shoe cover, has increased tremendously. It needs to be recycled in a productive way as plastic wastes take hundreds or thousands of years to degrade naturally. The conversion of plastic waste into magnificent CDs has been reported as one of the key alternatives for environmental sustainability and socio-economic benefits. In this review, synthetic routes for the conversion of plastic wastes into CDs utilizing hydrothermal, solvothermal, pyrolysis, flash joule heating, and characterization of these CDs using different techniques, such as Fourier-transform infrared spectroscopy, Raman spectroscopy, X-ray diffraction, and transmission electron microscope, have been discussed. Furthermore, potential applications of these plastic-derived CDs in sensing, catalysis, agronomics, and LED lights are summarized herein.

Comparison of intranasal midazolam-fentanyl with dexmedetomidine-fentanyl as pre-medication in the paediatric age group.

Background & objectives: Intranasal midazolam-fentanyl is commonly used as pre-medication in paediatric patients, but there is a risk of respiratory depression with this combination. Dexmedetomidine is a drug that preserves respiratory function. The objective of this study was to compare the efficacy of intranasal midazolam-fentanyl and dexmedetomidine-fentanyl in paediatric patients undergoing elective surgeries. Methods: Hundred children in the age group of 3-8 yr of American Society of Anaesthesiologists physical status grade 1 were randomized into two groups- group A received intranasal midazolam (0.2 mg/kg)-fentanyl (2 µg/kg) and group B received intranasal dexmedetomidine (1 µg/kg)-fentanyl (2 µg/kg) 20 min before induction of general anaesthesia. Heart rate and SpO2 were monitored. Sedation score, parental separation and response to intravenous cannulation were seen after 20 min. Children were monitored for 2 h for post-operative analgesia by Oucher's Facial Pain Scale. Results: Sedation scores were satisfactory in both groups, although children in group A were more sedated than in group B. Parental separation and response to intravenous cannulation were comparable in both the groups. The two groups were also haemodynamically comparable intraoperatively. Post-operative heart rate was also comparable at all-time intervals in both the groups except for heart rate at 100 and 120 min which were more in group A. Group A experienced more post-operative pain as assessed by Oucher's Facial Pain Scale as compared to group B. Children receiving intranasal dexmedetomidine-fentanyl had better post-operative analgesia as compared to those who received intranasal midazolam-fentanyl. Interpretation & conclusions: Both intranasal midazolam with fentanyl and intranasal dexmedetomidine with fentanyl provided satisfactory sedation. Both groups were comparable in separation reaction and response to intravenous cannulation with better post-operative analgesia in children receiving intranasal dexmedetomidine-fentanyl.

Enhanced photocatalytic degradation of organic dye by CeO2/CNT/GO hybrid nanocomposites under UV light for wastewater treatment.

Development of nanocomposites as efficient photocatalysts for the removal of hazardous organic pollutants is always in dire demand due to increase in water pollution. In this article, a facile sol-gel method has been used to synthesize cerium oxide (CeO2) nanoparticles followed by their decoration over multi-walled carbon nanotubes (CNTs) and graphene oxide (GO) to construct binary as well ternary hybrid nanocomposites using ultrasonic treatment. The oxygen vacancy defects have been depicted using X-ray photoelectron spectroscopy (XPS) that may result into improved photocatalytic efficiency. The ternary hybrid nanocomposites (CeO2/CNT/GO) showed excellent photocatalytic efficiency towards degradation of rose bengal (RB) dye up to 96.9% in 50 min. CNTs and GO provide the interfacial charge transfer which inhibits the electron-hole pair recombination. The results obtained here indicate that these composites can be effectively utilized as promising materials for the degradation of harmful organic pollutants for wastewater treatment.

A Multi-Thresholding-Based Discriminative Neural Classifier for Detection of Retinoblastoma Using CNN Models.

Cancer is one of the vital diseases which lead to the uncontrollable growth of the cell, and it affects the body tissue. A type of cancer that affects the children below five years and adults in a rare case is called retinoblastoma. It affects the retina in the eye and the surrounding region of eye like the eyelid, and sometimes, it leads to vision loss if it is not diagnosed at the early stage. MRI and CT are widely used scanning procedures to identify the cancerous region in the eye. Current screening methods for cancer region identification needs the clinicians' support to spot the affected regions. Modern healthcare systems develop an easy way to diagnose the disease. Discriminative architectures in deep learning can be viewed as supervised deep learning algorithms which use classification/regression techniques to predict the output. A convolutional neural network (CNN) is a part of the discriminative architecture which helps to process both image and text data. This work suggests the CNN-based classifier which classifies the tumor and nontumor regions in retinoblastoma. The tumor-like region (TLR) in retinoblastoma is identified using the automated thresholding method. After that, ResNet and AlexNet algorithms are used to classify the cancerous region along with classifiers. In addition, the comparison of discriminative algorithm along with its variants is experimented to produce the better image analysis method without the intervention of clinicians. The experimental study reveals that ResNet50 and AlexNet yield better results compared to other learning modules.

Endoscopic evaluation of velopharyngeal function in cleft lip palate patients - A correlation with speech analysis.

BACKGROUND: Speech abnormalities due to velopharyngeal insufficiency (VPI) significantly affect communication skills, self-esteem, and scholastic performance. It leads to a poor social, emotional, educational, and behavioral development and a poor quality of life overall in cleft lip palate (CLP) patients. Its early diagnosis and severity assessment using video-nasoendoscopy and speech assessment can significantly contribute to management. The present study evaluated VPI in CLP patients using both tools. METHODS: A total of 48 patients with repaired cleft palate were subjected to speech and video-nasoendoscopic assessment. Speech assessment measured severity of hypernasality, speech intelligibility, and voice quality. Video-nasoendoscopy evaluated velopharyngeal port closure to grade the severity of VPI. The speech assessment and video-nasoendoscopy findings were analyzed and correlated. RESULTS: There was a moderately strong statistically significant negative correlation between the grade of VPI and hypernasality (r = -0.542, p = 0.000). There was a stronger statistically significant negative correlation of grade of velopharyngeal port insufficiency with speech intelligibility (r = -0.634, p = 0.000). About 72% of the patients had abnormal voice quality. CONCLUSION: This study is the first attempt at diagnosing and grading VPI on a quantitative scoring based on a ratio scale for the motion of soft palate and pharyngeal walls. The strong correlation between endoscopic grading and speech analysis findings warrants further evaluation of nasoendoscopic grading of VPI in more studies.

Audit of In-Hospital Mortality from a Medical Oncology and Hemato-Oncology Center with the Emphasis on Best Supportive Care.

Deepak SundriyalBackground and Objectives The newly established medical oncology and hemato-oncology center at the All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India, provided us an opportunity to audit in-hospital mortalities with a vision that the audit will serve as a standard for ceaseless improvement. Aim of the study was to initiate a vigorous process for the evaluation of all-cause mortality in patients suffering from cancer. Methods An audit of all in-hospital deaths that occurred during the year 2019 was performed, and comprehensive scrutiny of various parameters (demographic, clinico-pathological, therapeutic, causes of death) was done. Reviews from two independent observers sharpened the infallibility of the audit. The lacunae in the existing practices and the scope for further improvement were noted. Results Forty-five in-hospital deaths were registered during the study period (January-December 2019). The majority of the deaths occurred in patients with advanced stage of malignancy ([ n = 31] 68.8%). Most common causes of death were progressive disease, neutropenic, and non-neutropenic sepsis. Chemotherapeutic agents, growth factors, blood components, and antibiotics were found to be used judiciously as per institutional policy. The reviewers emphasized on the use of comorbidity indexes in the treatment planning and avoiding intensive care unit referrals for patients receiving best supportive care (BSC). Emphasis was put on providing only BSC to the patients with a very limited life expectancy. Emphasis was also laid down on record of out of the hospital deaths. Interpretation and Conclusion The audit disclosed areas of care which require further improvement. The mortality audit exercise should become a regular part of evaluation and training for the ongoing and future quality commitment. This should impact the clinical decision making in an oncology center providing quality care to the terminally ill patients.

Nanomaterials photocatalytic activities for waste water treatment: a review.

Water is necessary for the survival of life on Earth. A wide range of pollutants has contaminated water resources in the last few decades. The presence of contaminants incredibly different dyes in waste, potable, and surface water is hazardous to environmental and human health. Different types of dyes are the principal contaminants in water that need sudden attention because of their widespread domestic and industrial use. The toxic effects of these dyes and their ability to resist traditional water treatment procedures have inspired the researcher to develop an eco-friendly method that could effectively and efficiently degrade these toxic contaminants. Here, in this review, we explored the effective and economical methods of metal-based nanomaterials photocatalytic degradation for successfully removing dyes from wastewater. This study provides a tool for protecting the environment and human health. In addition, the insights into the transformation of solar energy for photocatalytic reduction of toxic metal ions and photocatalytic degradation of dyes contaminated wastewater will open a gate for water treatment research. The mechanism of photocatalytic degradation and the parameters that affect the photocatalytic activities of various photocatalysts have also been reported.